Lake Meridian Chiropractic

Complaint: [redacted] I am rejecting this response because:I will be scanning in all invoices I have received and I have never received an electronic statementYou can clearly see hand written notes on my invoices crossing off items that were printedHow are my balances changing twice a week for services in 2015? We have no idea what the business is claiming we owe and see multiple yelp reviews with the same issueWe will pursue this legally if we can not receive a final reconciliation that agrees with our serice datesWe will scan in all invoices and send to the BBS as well as certified copy to the business I am still unclear on why my balance changes every couple days as my insurance has been fully billed years agoI have no confidence in the billing system they have if they can not determine what I owe and need to hand cross out amounts that their system printsI have also seen on yelp others receiving hand written changes to bills Sincerely, [redacted]

December 16, First I’d like to clarify a couple points The patient believes their neighbor does our billing and they only received statements after the noise complaint Their neighbor is not our biller, never has been Our patient ledger shows statements have been going by paper to them since February 2016, not since May as stated in complaint Additionally, electronic statements also went out on four occasions: 9-22-16, 3-13-17, 5-10-17& 7-11-There is a note in their ledger by our biller as well: emailed pt statement He was supposed to be calling payments 7/11/mmh Statement balances do change depending on when a date of service is processed by insurance and posted to patient ledger A co-pay owing would never show up in a statement until the insurance processes the date They sometimes even process dates out of order, which is completely out of our control The patient has asked for an itemization of their payments, insurance payments and reconciled statement, which we have sent Per HIPAA laws I cannot attach that for you to see They owe a co-pay each visit per their insurance There are dates insurance paid and only dates the patient paid their copay This is why a balance is due I hope this clarifies everything for you.DrS***

I see where your confusion is You think the balance owing is from your United Health Care (UHC) case since that is what you are referencing in your note The UHC case is a balance There is nothing owing on that caseYour husband has cases in our office Premera Blue Cross (PBC) and United Health Care (UHC)If you look at your statement you can see the balance is from the PBC case, which is the oldest case, but you must have forgotten when you had UHC insurance and when you had PBC insurance Your balance on your PBC account is for six dates of service between 12/14/to 3/11/You should have the specific dates on your fully reconciled account that was sent to you as well If you'd like to find out those dates you can also call our biller or Premera Blue CrossJust to be certain and make sure we didn’t have any oversight on our part, I had my biller called PBC insurance company and they told us you had Premera active only from 9/1/2015- 8/1/The representative also said this was always primary and didn't show any other insurance on file Meaning there was no secondary insurance during this time frame for us to bill That means you owe a $copay each visit, per insurance contract, if there is no secondary insuranceI hope this makes it clear that this is where the $balance comes from: six dates of service between 12/14/and 3/11/times $copay eachIf you have any further questions please contact our biller directlyThank you

I see where your confusion is.  You think the balance owing is from your United Health Care (UHC) case since that is what you are referencing in your note.  The UHC case is a 0 balance.  There is nothing owing on that case. Your husband has 2 cases in our office.  Premera Blue Cross (PBC) and United Health Care (UHC). If you look at your statement you can see the balance is from the PBC case, which is the oldest case, but you must have forgotten when you had UHC insurance and when you had PBC insurance.  Your balance on your PBC account is for six dates of service between 12/14/15 to 3/11/16. You should have the specific dates on your fully reconciled account that was sent to you as well.  If you'd like to find out those dates you can also call our biller or Premera Blue Cross. Just to be certain and make sure we didn’t have any oversight on our part, I had my biller called PBC insurance company and they told us you had Premera active only from 9/1/2015- 8/1/2016. The representative also said this was always primary and didn't show any other insurance on file.  Meaning there was no secondary insurance during this time frame for us to bill.  That means you owe a $25 copay each visit, per insurance contract, if there is no secondary insurance. I hope this makes it clear that this is where the $150 balance comes from: six dates of service between 12/14/15 and 3/11/16 times $25 copay each. If you have any further questions please contact our biller directly. Thank you.

Complaint: [redacted]
I am rejecting this response because: As I stated in my previous response, since February 2016 MYUH was Primary insurance for [redacted].  This insurance is through his employer and he is the sponsor of it.  He had secondary insurance of Premera until August 2016, then his secondary was Cigna after that, those are both through my employer and should not have been billed as primary.  I will call Cigna and Premera and make sure they are aware they should not have been billed as primary, that does not correct the issue as his primary insurance that we pay for was not billed for all instances and the copay is not applicable as that is through secondary insurance.  Primary already stated on the few times they were billed we owe nothing. 
Sincerely,
[redacted]

Complaint: [redacted]
I am rejecting this response because:I will be scanning in all invoices I have received and I have never received an electronic statement. You can clearly see hand written notes on my invoices crossing off items that were printed. How are my balances changing twice a week for services in 2015?  We have no idea what the business is claiming we owe and see multiple yelp reviews with the same issue. We will pursue this legally if we can not receive a final reconciliation that agrees with our serice dates. We will scan in all invoices and send to the BBS as well as certified copy to the business.  I am still unclear on why my balance changes every couple days as my insurance has been fully billed 2 years ago. I have no confidence in the billing system they have if they can not determine what I owe and need to hand cross out amounts that their system prints. I have also seen on yelp others receiving hand written changes to bills.
Sincerely,
[redacted]

December 16, 2017   First I’d like to clarify a couple points.  The patient believes their neighbor does our billing and they only received statements after the noise complaint.   Their neighbor is not our biller, never has been.  Our patient ledger shows statements have...

been going by paper to them since February 2016, not since May 2017 as stated in complaint.  Additionally, electronic statements also went out on four occasions: 9-22-16, 3-13-17, 5-10-17& 7-11-17. There is a note in their ledger by our biller as well: emailed pt statement.  He was supposed to be calling payments.  7/11/17 mmh.   Statement balances do change depending on when a date of service is processed by insurance and posted to patient ledger.  A co-pay owing would never show up in a statement until the insurance processes the date.  They sometimes even process dates out of order, which is completely out of our control.   The patient has asked for an itemization of their payments, insurance payments and reconciled statement, which we have sent.  Per HIPAA laws I cannot attach that for you to see.  They owe a co-pay each visit per their insurance.  There are 13 dates insurance paid and only 6 dates the patient paid their copay.  This is why a balance is due.   I hope this clarifies everything for you.Dr. S[redacted]